Ensuring a personalised approach
| DOI | https://doi.org/10.1108/AMHID-03-2018-0010 |
| Published date | 15 February 2019 |
| Pages | 15-24 |
| Date | 15 February 2019 |
| Author | James Sanderson,Nicola Hawdon |
| Subject Matter | Health & social care,Learning & intellectual disabilities |
Ensuring a personalised approach
James Sanderson and Nicola Hawdon
Abstract
Purpose –The purpose of this paper is to outline how personal health budgets and a universal, integrated
model of support, can positively transform the way in which individuals with a learning disability experience
their health and support needs.
Design/methodology/approach –The review recognises that Integrated Personal Commissioning, as a
policy approach, provides the framework to offer personalised care, and enables people to live an
independent, happy, healthy and meaningful life.
Findings –Evidence suggests that a personalised and integrated approach to both health and social care
not only offers better outcomes on all levels for the individual, but also benefits the system as a whole.
Originality/value –The study reveals that a personalised care leads to people to have choices and control
over decisions that affect in better health and wellbeing outcomes for people.
Keywords Wellbeing, Learning disability, Choice and control, Integrated personal commissioning,
Personalised care
Paper type Viewpoint
Introduction
The NHS turns 70 this year. It is an institution that has stood the test of time, and whilst
healthcare has evolved significantly since 1948, the fundamental principles behind the NHS
remain reassuringly constant. However, one of the many challenges currently facing the NHS is
the increasing ageing population in the UK. Whilst age itself is not necessarily a factor in
pre-determining long-term conditions (LTCs), we do know that more people are living longer,
(not necessarily healthier), lives. The increase in life expectancy is due to a number of factors,
including: safety enhancements, such as the design of seatbelts and airbags in cars, and other
public health initiatives, such as a ban on smoking in public places. Importantly though, the
increase in people’s life expectancy is also as a result of the excellent care, support, innovation
and development within the NHS itself.
The NHS recognises ,h owever, that there is always roo m for improvement, and perhaps n ow is
the time for a new and innov ative approach to car ing for those with a lear ning disability
and/or mental health needs; an approach that looks towardssupporting people in new ways.
It is becoming clear that the NHS must play a more proactive role, so that those with complex
needs are able to liv e well and manage their health effe ctively. Not only is this importan t from a
personalisation policy perspective –to ensure that people are getting a personalised level of
care –butitisalsocrucialfroma“system”perspective. In 2018, an average of 41 per cent of
people who arrive to Accident and Emergency Departments could be accessing different
parts of the system to get their needs met. There will be many reasons as to why it is that
those people are he ading straight to A &E departments, b ut what is emergin g with increased
clarity is that we do need to protect the NHS from being used ineffectively so as to safeguard
it for our future.
People with LTCs and complex needs make up 30 per cent of the population, account for
50 per cent of all GP appointments, and occupy 70 per cent of hospital beds (Naylor et al., 2012).
Our quantitative data shows us that 70 per cent of each health and social care pound is spent on
supporting those with LTCs, whilst our qualitative data highlights that people with LTCs, such as
Received 5 March 2018
Revised 2 May 2018
Accepted 8 May 2018
© James Sanderson and
Nicola Hawdon. Published by
Emerald Publishing Limited. This
article is published under the
Creative Commons Attribution
(CC BY 4.0) licence. Anyone may
reproduce, distribute, translate and
create derivative works of this
article (for both commercial and
non-commercial purposes),
subject to full attribution to the
original publication and authors.
The full terms of this licence may
be seen at http://
creativecommons.org/licences/by/
4.0/legalcode
James Sanderson is Director at
Personalised Care Group, NHS
England, Leeds, UK.
Nicola Hawdon is based at
NHS England, Leeds, UK.
DOI 10.1108/AMHID-03-2018-0010 VOL. 13 NO. 1 2019, pp.15-24, Emerald Publishing Limited, ISSN 2044-1282
j
ADVANCESIN MENTAL HEALTH AND INTELLECTUAL DISABILITIES
j
PAGE15
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